In Nigeria, before 2017 the most recent case of human monkeypox had been reported in 1978. By mid-November 2017, a large outbreak caused by the West African clade resulted in 146 suspected cases and 42 laboratory-confirmed cases from 14 states. Although the source is unknown, multiple sources are suspected.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6004876PMC
http://dx.doi.org/10.3201/eid2406.180017DOI Listing

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